Neoplastic leg ulcer C44.7

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Marjolin`s ulcer; Marjolin ulcer

Definition
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Ulcer decaying, malignant tumour on the lower leg (e.g. spinocellular carcinoma, basal cell carcinoma, malignant melanoma, Kaposi's sarcoma, etc.) which may imitate an ulcer of a different origin. It is not always possible to clarify whether it is a tumour that primarily developed on intact skin or whether it is a complicated malignoma at the base of a long-term existing leg ulcer (> 3 years). According to the initial description, a Marjolin ulcer is a squamous cell carcinoma or basal cell carcinoma on the floor of a primarily non-neoplastic leg ulcer.

Occurrence/Epidemiology
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Men are affected in a ratio of 2.5:1.0 compared to women. Average age of the disease: 75 years. Ulcer diseases (mostly venous leg ulcers) usually persist for more than 25 years.

Clinical features
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Therapy-resistant ulcer cruris with mostly excessive red granulation tissue and a raised, firm edge wall.

Differential diagnosis
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Therapy
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S.u. of the respective underlying disease.

Literature
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  1. Combemale P et al (2007) Malignant transformation of leg ulcers: a retrospective study of 85 cases. JEADV 21: 935-941
  2. Marjolin JN (1828) Ulcère. In: Dictionnaire de Médicine. Adelon NP ed. Mugs, Paris p. 31-50

Incoming links (1)

Venous leg ulcer;

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020